AMBER E MANVILLE (Credential# 1621304) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
AMBER E MANVILLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012131. The credential type is physical therapist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 790 E Flat Hill Rd, Southbury, CT 06488-1132. The current status is active.
Licensee Name | AMBER E MANVILLE |
Credential ID | 1621304 |
Credential Number | 14.012131 |
Credential Type | Physical Therapist |
Business Address |
790 E Flat Hill Rd Southbury CT 06488-1132 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-02-11 |
Effective Date | 2019-12-01 |
Expiration Date | 2020-11-30 |
Refresh Date | 2019-10-01 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1048687 | 63.001234 | Physical Therapist Assistant | 2012-03-08 | 2018-12-01 - 2019-11-30 | INACTIVE |
Street Address | 790 E FLAT HILL RD |
City | SOUTHBURY |
State | CT |
Zip Code | 06488-1132 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06488 |
City | SOUTHBURY |
Zip Code | 06488 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + SOUTHBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kevin Stiles | 441 Manville Rd Apt 5, Pleasantville, NY 10570-2851 | Physical Therapist | 2019-11-25 ~ 2020-09-30 |
Amber Fake | 35 Woodsedge Dr, Newington, CT 06111 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
Amber M Schulde | 243 Norfolk Rd, Litchfield, CT 06759-2516 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
Amber S Hayes | 52 Pilgrim Rd, Torrington, CT 06790-3014 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Amber N Noviello | 185 Dixon St, Bridgeport, CT 06604-1804 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
Amber L Quesnel | 23 Geer Ave, Meriden, CT 06450 | Physical Therapist | 2003-10-15 ~ 2004-10-31 |
Amber M Campitelli | 700 Waters Edge Ct, Eldersburg, MD 21784-8004 | Physical Therapist | 2017-07-26 ~ 2018-01-31 |
Amber N Ives | 36 Walt Drive, Meriden, CT 06450 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Amber D. Curles | 200 Wynne Fork Rd, Hertford, NC 27944-1430 | Physical Therapist Assistant | 2012-02-07 ~ 2012-07-31 |
Amber Nicole Cioffi | 572 Lawlor Terrace, Stratford, CT 06614 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).